Med Mutual Insurance

LeeDugas
on 1/10/09 3:20 pm - Howard, OH
I am just submitting my initial Pre-Det letter to my insurance company - Med Mutual.  Has anyone had the procedure with Med Mutual?  Can anyone share any advice...do they approve it? 
Robin W.
on 1/10/09 8:42 pm - Franklin, OH
I had MMO when I had open RNY 5 years ago. All that was required way back then was:
5 year weight history, BMI over 40 or 100 lb over "Ideal Weight" , med ness. If you go to my profile 9/19/2003 you can see the letter I wrote to MM and my time line. After all the paper work was sent it it wasn't long till I got my approval.   In the system 9/24/03 approved 10/10/03
What I would do is call MM and find out what YOUR POLICE states. Each policy if different and then follow what they want and you'll get approved.
Good Luck,
Robin

4'10" - 47 I'm short but not petite and I will weigh more than a 5th grader
Start weight 220 
"Be who you are and say what you feel because those who mind don't matter and those who matter don't mind"  Dr. Seuss

pammylou
on 1/12/09 7:54 pm - Tallmadge, OH
Hi - I am a year out and when I started my journey - it took almost 7 months from start of process to surgery day.  My Med Mut insurance required documentation of a 6 month supervised diet from either my primary physician or as some have done, Weigh****chers documentation.  Once that was done and submited for approval it was about 10 days to two weeks.  If you have any comorbidities like Diabetes, high BP, etc, the approval is more likely, but I know some of  my friends that had no comorbidies were easily approved.  Good luck in your process!

Highest wt: 1/4/06   - 296
Met surgeon: 6/7/07 - 287
Surgery day: 12/12/07 - 277
Current: 9/28/08 - 196.5
Drs Goal 180   My Goal: 145
     "When a believing person prays, great things happen."  James 5:16

highmaintenance
on 1/19/09 2:50 am - Waverly, OH
I had MM and so have 2 of my friends.  We all got approved on our first submission.  As long as you submit every thing they require you will be fine.  Good luck to you!
BETH
Starting weight - 292
Lowest weight - 152
Current weight (pregnant with 2nd VSG baby) 178
Baby due 3-2011

eard1421
on 1/19/09 4:11 am - OH
My husband had medical mutual - and now so do I - our employer has put in a no WLS clause in the policy - so it won't cover it or any complication from it.   Guess it varies on employer.  Anne
boobrajean2008
on 1/28/09 10:43 am - ravenna, OH
Yes I just went through it  11/08 I was denied the first time only because the nurse forgot to send in my last month of nut and clearance for the surgery once they rec'd it I was approved in 1 day. 14 days to deny and 1 day to approve. All in all it went great. I had med mutual ppo
Barbara Jean
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